Requester's Name

Requester's Company (If Applicable)

Requester's Phone Number

Format: xxx-xxxx (include hyphen)

Requester's Email

Physical Address of Incident

Date of Incident

Notice: In an effort to prevent Spam form submissions, you will need to finish the statement, "Where there is smoke, there's ...."
Enter word in the field below to submit your request.

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Under North Carolina law, e-mail addresses are public records.
If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact the office by phone or in writing.

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